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Home My WebLink AboutBLD2005-00018 ilkMLA05-00012 UILDING PERMIT APPLICAN Review Type: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00018 Received Date: 1/7/2005 SITE ADDRESS: 185 BROTHERS RD CHIMACUM, 98325 OWNER: ROBERT A OLSON PHONE: (360) 697-3899 PO BOX 601 KEYPORT WA 98345-0601 SUBDIVISION: LOFALL HEIGHTS LARGE LOT Block: Lot: 1 PARCEL NUMBER: 801045021 Section: 4 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: REPRESENTATIVE: PHONE: PROJECT DESCRIPTIOP NEW SFR W/ ATTACHED GARAGE AND DECK & A/G 120 GAL PROPANE TANK TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 2,004 VALUATION 301,847.00 ADD'L: 1,086 HEAT TYPE: PRO CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 576 SHORELINE: CONST TYPE: DECK: 480 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: PUD PARCEL TAGS: YES NO _ BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 3 Prop: 3 Seismic Streams Total: 3 Total: 3 Flood Vv'ay Floodplain Routing Date: / f II F&W Landslide ! Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: Receipt: Approved/Date Permit $2,124.95 BAC 01/07/05 68887 A P P R O`/E , Plan Check $1,381.22 BAC 01/07/05 68887 �/ State Building Code $4.50 BAC 01/07/05 68887 MAR 2*2005 Potable Water Application $53.00 BAC 01/07/05 68887 i Jefferson County Planning,, Total: $3,563.67 &Building Department 41"c-Sel fj ply • • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD05-0001 8 Received Date 01/7/2005 SITE ADDRESS: 185 BROTHERS RD Issue Date 03/22/2005 CHIMACUM, 98325 APPLICANT: ROBERT A OLSON PHONE: (360) 697-3899 PO BOX 601 KEYPORT WA 98345-0601 • SUBDIVISION: LOFALL HEIGHTS LARGE LOT Block: Lot: 1+ PARCEL NUMBER: 801045021 Section: 4 Township: 28 N Range: 01 W CONTRACTOR: OWNER/BUILDER PHONE: PROJECT DESCRIPTION: NEW SFR WI ATTACHED GARAGE AND DECK & A/G 120 GAL PROPANE TANK CALL IN FOR THE REQUIRED I SPECTIOAIS THAT APPLY TO YOUR PROJECT. SETBACKS: OK( 6/7.2srS UFFER: Footing: DV-AA,ca- (9-Z? -•CSS- Foundation: OA( 4/705, Stormwater FINAL Approval: Underground Plumbing: Underground Insulation: Shear Wall : Sheathing: Framing: , DAGJIdi6.*/)S /ft/GL• Plumbing: Propane Ta / Lines: Insulation: /--2 c --06 Sheetrock: /M7s,e/Dy2- 64)5 SHe.QgevAIL6 Z i I/74A :fif Septic Sytem Final Approval (If not on sewer): Road Approach Final Approval: Zoning Final Approval: Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE • SPECIAL CONDITIONS FOR C VE A BLD05-00018 1.) A setback of 75-feet, measured perpendicularly from the wetland edge, shall be permanently maintained as a buffer. No filling, grading, clearing, or other alteration of the wetland or its buffer is allowed. 2.) Buffer perimeters shall be marked with temporary signs at an interval of one per parcel or every one hundred (100) feet, whichever is less. Signs shall contain the following statement: "Wetland & Buffer- Do Not Remove or Alter Existing Vegetation." 3.) A permanent physical separation along the upland boundary of the wetland buffer area shall be installed and permanently maintained. Such separation can include installing logs, trees, a hedgerow, or any other prominent physical marking approved by the UDC Administrator. 4.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and..drainage control systems. 5.) A Stormwater Site Plan has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 6.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 7.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and right's;-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 8.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 9.) The building height is not to exceed 35 feet. 10.) Minimum setback from Brothers Road right-of-way shall be 20 feet. Minimum side yard setbacks shall be 5 feet. Minimum setback from edge of wetland shall be 75 feet per Level 1 Wetland Assessment dated March 2005 by Olympic Wetland Resources. 11.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 12.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 13.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. • • 14.) The wetland buffer shall be revegetated with native trees and shrubs. Shrubs planted could include red-flowing currents, vine maple, red-osier dogwood, hazlenut and cedars. Plantings can be arranged to suit landscape and aesthetic requirements. In general, shrubs should be spaced 4 to 5 feet apart and trees 10 feet apart. All invasive non-native species should be controlled (Scot's broom, thistle, reed canary grass). PRIOR TO FINAL BUILDING INSPECTION, PROPONENT SHALL SUBMIT A WRITTEN VERIFICATION FROM OLYMPIC WETLAND RESOURCES THAT THE RECOMMENED PLANTS HAVE BEEN PROPERLY INSTALLED. • 1:1F_BLD_Perm it_Bu ildng.rpt 10/29/19 ,�wg'S�N Cod JEFFERSON UNTY • f f I' \ j DEPARTMENT OF COMMUNITY DEVELOPMENT ' ►a 4\ ` '� 621 Sheridan Street• Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax Is Off. : www.co.jefferson.wa.us/commdev ent7 2005 Master Permit Application _: ... MLA: (5 — \ a Project Description(include separate sheets as necessary): 5 i t-4.G t_ G- C A►^-.i 1 'c 1 0l=ra C- Tax Parcel Property Number: se 0 l 04 5 — L 21 Size: S OE-cn.G S (acres/square feet) Site Address and/or Directions to Property: I cE S .-1Zui t t-1 z as -b Property Owner(s)of Record: Rt.a 0 rt`:7 is, 6 trc c,f4) Telephone:3(b-Lei 1 -3`trim Fax: email: Mailing Address: 'Pc c,x a i I ICE-LiPc.:1"l r 1,-)LA q g' 4 S-- C, ( c5 i Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) ❑ Building ❑ Variance(Minor,Major or Reasonable Economic Use) ❑ Demolition Permit ❑ Conditional Use[C(a),C(d),or C]** )irSingle Family ❑ Discretionary or Unnamed Use Classification ❑Garage Attached/Detached ❑ Special Use(Essential Public Facilities)** ❑Manufactured Home ❑ Boundary Line Adjustment ❑Modular ❑ Short Plat** ❑Commercial* ❑ Binding Site Plan** ❑Change of Use ❑ Long Plat** ❑Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑Propane ❑ Plat Vacation/Alteration** ❑Allowed"Yes"Use Consistency Analysis ❑ Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance ❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* ❑ Jefferson County Shoreline Master Program Amendment ❑ Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference _ **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or ifs knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide aci-pc" and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any requir later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. /�'� Signature: C).42----- Date: i— 4r S The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the 'Endangered Species Act"or"ESA"Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transfr r4essponsility f a ering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: t� Date: / — U - S G:\PemutCenter\FORMS\DRD FORMS\Master Permit Application 7-8-04.doc illOWNER BUILDER STATEMENT 0 The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that •\ they will be assu 'ng the responsibility o'f`the ,General Contractor for the proposed project. Signature:�� r✓L' 2- �fi� Date: / — 0 C — C3 JH — 7 2005 GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: ( ) • ( ) MAILING ADDRESS: EMAIL: CONTRACTOR'S LICENSE WAINS NUMBER: NUMBER ARCHITECT/ENGINEER: PHONE ( ) FAX:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: New X Wood Existing: ❑ Sewer Cl Addition ❑ Steel Proposed: -2_ -- /-'41 Bank ❑ Community System \' - ' ❑ Alteration/Remodel ❑ Concrete Total: 2"3l Height: 'Individual System ❑ Repair ❑ Masonry SEP Permit# - - 2 ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Setback: 0 Private well 0 Two Party Type of Heat: Proposed: "3 1Public Total: 13 Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: ❑ Underground Tank X Above ground Tank Size of Propane Tank: I'2C C^A v ❑ Heat Stove ❑ Cook Stove ❑ Woodstove Fireplace Insert X Hot Water Tank ❑ Pellet Stove 0 Other Is this appliance being Installed in a Manufactu /Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Fi tie ' • � S,Y ' k" . .y Kr ` z, ~4-1'.� , � '.,, ,gl � L ,- aka SY7 � e r t Current Proposed t" , 4 � Kk t �t r , ,, Main Floor �tg.+QY g f 4 ,4, 1;" * . A' � X , :i.,'2.2 Floor x ' Mt eta 3i Vq (c Ye ,:, S a s Tl' 3 Floor Gr' i .i}ycW g' �t r T}-Sty, Tfw,. f xL2+1 }.' I Y b. !l"..^M....�.y+S*..', t 3 i{- .. Mezzanine: i ,"if.+ �;�. J2 8e.cy^.;1.t7?r4 s4 a. sh J�� '34n�, t �yt e�y{.�yc as *., 'a ,-,t�' 1A}� ik'Pita'2;Fy, x. Y / - ° t 1 r jF 1 )—0, rt-ry? �".� ^•� i` 5'a7u @ k. Heated Basement N -' `'* j' ' A �_ �_l 4 -'L fy t 7 Unheated Basement �` ' t w ¢�. '�: <x , 7r `,..:`: L n 'li s:.'i"Sl.4• ..7t,s; Y i�rSY° ias " ./3?t, i Other Unheated y�a {i �rT YT Sby Y , ,.h e h ✓'_,{ "+.{gY�ij ix ?h�' S�Sd1er: f+, Garage/Carport "] tc `� C�"l .: i P 0 F�p � r ti. x Decks ▪ 1r r ,� * :�• a� �° ` Other 1 lima_ e N�14 t _ ! Q Y ,, k ESTIMATED COST(REQUIRED) pot ,* �,. A'�,:'` :, i y r h *Fair market value of all labor and materials foundation to 6nisn -4,.,, 'K - t "' `�* € .. ... z `,s, ✓ ,. - M. f 0. Cr)C o '� :: I ,�� e . F G:\PemutCenter\FORMS\DRD FORMS\Master Pemut Application 7-8-04.doc